Marianna Health & Wellness, P.a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3021832 Issued in FL

Legal business name

MARIANNA HEALTH & WELLNESS, P.A.

Practice address

4439 Jackson St
Marianna, FL 32448-4659

Phone

(850) 526-4830

Fax

(850) 482-2757

NPI assigned

Jan 5, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel E. Bontrager, D.C.NPI 1235105818

Title

President/Owner

Phone

(850) 526-4830

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel E Bontrager, DC

  • Chiropractor
  • Marianna, FL
  • NPI 1235105818
  Medicare reassignment NPD Authorized official
• John Michael Bennett, D.C.

  • Chiropractor
  • Marianna, FL
  • NPI 1073842316

  FL

  Medicare reassignment
• Dorcas B Goodman, ARNP

  • Family Nurse Practitioner
  • Bristol, FL
  • NPI 1467520114

  Family

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1083944573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 JACKSON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484659",
            "telephone_number": "850-526-4830",
            "fax_number": "850-482-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 JACKSON ST",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324484659",
            "telephone_number": "850-526-4830",
            "fax_number": "850-482-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA HEALTH & WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "BONTRAGER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "850-526-4830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3021832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051144700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary E Maldonado, ARNP
• Marianna Emergency Group, LLC
• Marianna Family Care Center LLC
• Marianna Family Care Center, LLC
• Marianna HCC LLC
• Marianna Imaging, LLC
• Marianna Medical Associates Inc
• Marianna Nursing and Care Center LLC
• Marianna OB GYN Associates P a
• Marianna Pediatric Associates PA

• All providers in Marianna, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.